Individual
DR. TERRENCE JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
126 FRESNEL LN, SAINT AUGUSTINE, FL 32095-7514
(252) 567-2456
Mailing address
126 FRESNEL LN, SAINT AUGUSTINE, FL 32095-7514
(252) 567-2456
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME147391
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
45041
CT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
60485
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G88806
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
H7851
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD.201772
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME147391
FL
Other
Enumeration date
06/23/2008
Last updated
10/08/2020
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